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General NPI Number Information
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NPI Number | 1598318644
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Entity Type | Organization
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Legal Business Name | LIVING WELL NP, IN PSYCHIATRY AND FAMILY HEALTH, P.C.
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 441 CEDAR ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2509
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Country | US
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Telephone | 917-605-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 441 CEDAR ST
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2509
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Country | US
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Telephone | 917-605-3345
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | FIONA SMITH-CAMBRY
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Credential | NP
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Telephone | 516-205-5541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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